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男,3岁。两月前出现尿频、尿急、排尿困难呈滴沥状,无肉眼血尿,大便正常。20天前胱膀区发现包块,导尿后不消失,以胱膀肿瘤入院。体查:咽扁桃体Ⅱ°肿大,充血,胱膀区膨隆,可触及4×6厘米包块,质地硬,表面光滑且固定,有压痛。实验室检查:血红蛋白13克％、白细胞总数14.800/立方毫米,中性48％,淋巴41％,单核8％,嗜酸3％,尿蛋白(+),红细胞1～3,脓细胞2～6;粪检蛔虫卵0～2;肝肾功能化验正常。同位素肾图示右肾功能轻度受损;X线胱膀造影示胱膀上界达腰4水平,边缘光整,上部呈分叶状充盈缺损,诊断:胱膀肿瘤。
Male, 3 years old. Urine frequency two months ago, urgency, dysuria was drip drip, no gross hematuria, normal stool. 20 days ago found in cyst area mass, does not disappear after catheterization, to bladder cancer hospitalization. Physical examination: pharyngeal tonsils Ⅱ ° enlargement, congestion, cyst area swelling, palpable 4 × 6 cm mass, texture hard, smooth and fixed surface, tenderness. Laboratory tests: hemoglobin 13%, white blood cells 14.800 / cubic mm, neutral 48%, lymph 41%, mononuclear 8%, eosinophilic 3%, urinary protein (+), red blood cells 1 ~ 3, pus 2 ~ 6; Fecal Ascaris eggs 0 ~ 2; liver and kidney function tests normal. Isotope renal pictorial right renal dysfunction; X-ray cystography shows the upper reaches of the bladder 4 waist level, the edge of the whole, lobulated filling the upper part of the defect, diagnosis: bladder tumor.